Copyright © Diane Gainey - http://www.diane-gainey.co.uk

"How people die remains in the memory of those who live on."

DAME CICELY SAUNDERS

Site Map

Home

Clinical

After Death

What to do when someone dies checklist - pdf file, external link.
Death Registration
What to do after death in England & Wales - pdf file.
Secular and environmentally friendly funerals

Bereavement

NHS Bereavement Leaflet - pdf file.
Help the Aged Leaflet - pdf file.
Cruse - Link to Cruse website.
Links to other bereavement support websites
Local Bereavement Services
Bereavement Report from West Cumbria - Hospice at Home, pdf file.

Bowel Care

Carers

Communication

Communication and out of hours care
Cuedoc special patient form - pdf file.
Communication and breaking bad news
Breaking bad news: guidelines, strategies and resources - external website.

Emergencies

Malignant Spinal Cord Compression
Hypercalcaemia
Total Pain
Haemorrhage
Guidance on managing Catastrophic Haemorrhage - pdf file.
A brief guide to emergency drugs in palliative care

Last Days of Life

Dying at Home
Anticipating & Planning for Common Problems at Home
Checklist for the last few days of life at home
Management of symptoms in the last few days of life
Prescribing at the end of life: the core four drugs.
Pain
Diamorphine prescribing at the end of life
Using fentanyl in dying patients
Nausea & Vomiting
Respiratory Tract Secretions
Terminal Restlessness and Agitation
Integrated care pathway for the dying patient

National
Local North Cumbria Hospital Care Pathway for Dying Patients
Local North Cumbria Community Care Pathway for Dying Patients

Out of hours service provider handover form
Dying at Home - a practical toolkit - Powerpoint Presentation

Lymphoedema

Oedema and lymphoedema
Consensus On Cellulitis - PDF document from External Website
Directory of UK Lymphoedema Services
Local Lymphoedema Service Referral Criteria

Nausea & Vomiting

A Brief Guide to Nausea & Vomiting
A Suggested Protocol for Nausea & Vomiting

Pain Control

Whole Patient Pain Assessment
Recognising Common Pain Patterns
Basic Principles for Pain Control
Treatment Guideline for Cancer Pain - pdf file.
Troubleshooting Difficult Pain
Approximate Opioid Equivalents - pdf file.
Oxycodone Information Leaflet - pdf file.
Hydromorphone Information Leaflet - pdf file.
Fentanyl Prescribing Information
Using fentanyl in dying patients
Diamorphine prescribing at the end of life
Morphine Information Leaflet - pdf file.
Morphine Prescription Checklist - pdf file.
Simple Guidance on Prescribing S/C Morphine - pdf file.
Simple OOH Prescribing Guidance - pdf file.
Total Pain
SIGN Guidelines for control of pain in adults with cancer - external website

Spiritual Care

Brief guide to faiths and faith resources
Spiritual Care in a Secular Society
Further information on faiths and faith resources - external website
The Kindness of Strangers - external website
All spirit-poetry, writings, quotations - External website.

Syringe Drivers

Prescribing at the end of life: the core four drugs.
Prescribing for the syringe driver
A brief guide to drugs for the syringe driver
Syringe driver drug compatibility chart
Graseby syringe driver training - opens website.
Protocol for the use of Graseby syringe drivers for subcutaneous use in palliative care
McKinley syringe driver training - powerpoint presentation file.
McKinley syringe driver online training system - external website.
Guidelines for subcutaneous siting of the Saf-T Intima (yellow 24 gauge Reference number 383313) - pdf file.
Preventing and controlling skin irritation

Local Information

Directory of Services

Referral Criteria

Eden Valley Hospice
Lymphoedema Service Referral Criteria

Oedema and lymphoedema
Consensus On Cellulitis - PDF document from External Website.
Referral criteria for the East Cumbria lymphoedema service
Referral criteria for the West Cumbria lymphoedema service
Lymphoedema service referral form - pdf file.

Macmillan Team
Marie Curie
Palliative Care Unit West Cumberland Hospital
Hospice at Home West Cumbria - Referral Criteria, Word Document.

Out of Hours

CHOC (Cumbria Health On Call) out of hours service
Communication and out of hours care

Statistics
Guidelines

Primary Care

Primary Care General Guidelines
Standards for symptom control
Palliative care task checklist and drug guidelines
Simple guidance for Out Of Hours opioid prescribing
North of England Cancer network Symptom control guidelines

KITE Standards for primary care (North Cumbria)

KITE Standards pdf
KITE Website

Gold Standards framework for primary care
Prescribing guidelines (Lothian Joint formulary for North Cumbria)
North of England Cancer network guidelines
Coast 2 Coast Cardiac network recommendations heart failure and COPD
National guidelines

NHS End of Life Care Programme - External website.
Gold Standards Framework - External website.
Liverpool Integrated Care Pathway for the Dying Patient - External website.
Preferred Place of Care Plan - External website.
NICE Guidance for Supportive and Palliative Care - External website.
Other National Guidelines - External website.

Education & Training

Local
National

National Guidelines

NHS End of Life Care Programme - External website.
Gold Standards Framework - External website.
Liverpool Integrated Care Pathway for the Dying Patient - External website.
Preferred Place of Care Plan - External website.
NICE Guidance for Supportive and Palliative Care - External website.
Other National Guidelines - External website.

Links & Contacts

Websites
Online Palliative Care Textbooks
Contact & About Us
Site Map

Important News

New North Cumbria Pallative Care website has almost 16,000 page views in first 6 months
National End of Life Care Strategy
North Cumbria Palliative Care Website Relaunch

Important News

Important Changes in Cumbria Palliative Care Prescribing Practice

Cumbria is changing practice, from 1st April 2011.

The Area Prescribing Committee has recommended the following changes:

  • All strong opioids are to be prescribed by brand name
  • "Just in Case" prescribing is to be encouraged and promoted
  • Morphine is to replace diamorphine as the subcutaneous injectable strong opioid of choice for palliative care patients in Cumbria

21/03/2011

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North Cumbria Pallative Care website

The award winning North Cumbria Palliative Care website continues to receive around 30,000 page views a year. This is 82 page views every single day of the year, 2,500 hits every month, without any publicity or advertising program.

1/3/2011

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